White Coat, Black Art (CBC)

Provinces are permitting pharmacists to prescribe for minor ailments, but in Alberta, pharmacists have been doing that and much more for 15 years. Because of their expanded powers, they’re filling gaps in health care. But it’s raising questions about the line between pharmacists and family doctors.

At 28 years old, Dr. Soania Mathur was building her medical practice and expecting her first child. Then, she was diagnosed with Young-Onset Parkinson’s Disease. She tried to ignore her diagnosis for a decade, but as the symptoms progressed, she had to close her practice. Now, the self-described "Unshakeable MD" uses her experience as both a patient and a doctor to advocate for especially young people living with Parkinson's, as up to 10% of patients are under 40.

The federal election campaign so far has been dominated by curveballs from the U.S. But meanwhile, the state of public healthcare in Canada remains dire. We look at what our listeners have to say about the creep of a two-tier healthcare system, and check in with health law expert Colleen Flood about how Canadians should demand healthcare reform no matter which party they choose.

We know there are problems with our country’s health-care system, with millions of Canadians going without a family doctor or nurse practitioner. But Denmark, a country where more than 98 percent of its population is attached to a primary care provider, could have some lessons for us. We travelled to the Scandinavian country to see how the Danish system works for patients and doctors. The differences are startling.

When cancer patients receive chemotherapy, they often lose their hair, and that can wreak havoc on physical and mental health. Cairo Gregory was just 15 when she got ovarian cancer. Chemotherapy meant she lost her long curly hair just when she started to love it. She struggled to find a suitable wig through the hospital. She says the healthcare system must do more to help women deal with hair loss, especially young Black women like her.

A single book can have the power to help us heal. A panel of celebrated physicians and nurses, along with members of the audience, weigh in on the books that inspired them at a live event recorded at Hamilton’s Central Library, hosted by Dr. Brian Goldman. 

A first-of-its-kind medical school, part of Queen's University in Ontario, is recruiting and training students with the sole intention of graduating family doctors. But can it prepare them for the daily realities of the job?

Companies are spending big bucks advertising weight-loss drugs like Rybelsus and Ozempic. But in Canada, "reminder ads" can give only the medication's name, not what it's for, telling people to ask their doctor for more. Special guest Terry O'Reilly, host of CBC's Under the Influence, says it can result in bad ads that turn people off, while pharmaceutical policy expert Barbara Mintzes says reminder ads can do more harm than good.

Like many of Canada’s rural and remote communities, Mackenzie, B.C.’s hospital struggles to staff the ER. But once a week, a doctor hundreds of kilometres away fills in virtually. Many provinces like B.C. are using virtual care in ERs in an attempt to keep the doors open. But critics are concerned about patient safety and the need to balance virtual with in-person care.

CBC producer Adam Killick has spent his whole life believing something was wrong with him. It’s only now, in his 50s, that he’s wondering if he has attention-deficit hyperactivity disorder. About four to six per cent of adult Canadians have ADHD. If Adam is diagnosed, it would help him make sense of his life. If not, he's not sure what he'll do. We follow along on his quest. 

Patients don't like asking for them, doctors hate writing them, and yet, some employers continue to demand notes when a worker calls in sick for a minor illness like the flu or a cold. More and more doctors and other health-care providers says that sick notes shouldn't be required for minor illnesses, tying up an already overloaded system. Some provinces have now updated their sick note policies.

When he's not working in the ER, Dr. Nicholas Sparrow spends his spare time in a surprising way. He responds to critical threat-to-life calls as a volunteer through the Kootenay Emergency Response Physicians Association (KERPA), a charity he created. Dr. Brian Goldman rides along on one of Dr. Sparrow's shifts to learn how - and why - he does it.  

More Quebeckers are paying to see a family doc for services that should be covered publicly. Dr. Martin Potter explains why he founded Clinique Santé Plus after 20 years in the public system. But Dr. Bernard Ho of Canadian Doctors for Medicare says Quebec may be a bellwether for the rest of Canada, and private-pay family medicine puts the public system, and individual patients, at risk.

Josh Booth has a pitch for Canada: Bring in nurse anesthetists to help deal with Canada’s shortage of anesthesiologists, the doctors who manage sedation before and during surgery. Booth, a Canadian certified registered nurse anesthetist working in the U.S., says health professionals like him can help handle the demand for anesthesia. B.C. has tried twice to bring in the nursing role but it has yet to happen. Dr. Giuseppe Fuda, president of the Canadian Anesthesiologists’ Society, says there are concerns about bringing in nurse anesthetists to our healthcare system.

Dr. Tara Kiran knows primary care in Canada can be better. That's why the Toronto-based family physician and researcher went to the Netherlands, a world leader in health, to see what we can take away. What she found is a system that provides around-the-clock care and primary care teams who can see patients when they need it most. 

With election day just around the corner, we know Canadians have questions about health care and how the next federal government can help make it better. That's why we asked candidates from the five major parties about three priority issues: how they would ensure every Canadian has a family doctor or nurse practitioner, what they would do to make it easier for doctors to work across the country, and how they would address the creep in private-pay primary care. 

Christina Shehata waited 40 hours in an Ontario hospital ER to get an inpatient bed. It’s a common reality in hospitals across Canada. What makes Christina's story different is that her husband, Dr. Adam Shehata, was keenly aware that she could have died. While the hospital did the best it could, Christina says without the aid of a physician spouse, her stay could have been even longer. They're highlighting the need for systemic change.

Attracting a family doctor to work in a community is challenging, with fewer physicians choosing family medicine. That's why Cheryl Gnyp, the recruiter for Castlegar, B.C., needs to stand out. She uses the board game Operation and specialized coffee as part of her 10-minute sales pitch to potential recruits at conferences. It can take years before a doctor starts working in the community, but she’s in it for the long haul.

Colorectal cancer is the fourth most common cancer in Canada, but screening doesn’t begin until age 50. Seeing younger people getting diagnosed, Dr. Shady Ashamalla helped launch Sunnybrook's Young Adult Colorectal Cancer Clinic in Toronto. It offers minimally invasive care to patients like Catherine Mifsud, diagnosed with three kids at home in the prime of her career.

Faced with a life-limiting illness, most Canadians would like to die at home. But only 13% are offered the palliative support to do so, which Dr. Sammy Winemaker wants to change. The palliative home care physician introduces us to the family of patient Shelley McCarthy two years after her death at home from thyroid cancer. They say a palliative approach should be offered early and include everyone.

Dr. Erin Sullivan worked a gruelling schedule as a family doc in rural Saskatchewan, struggling to balance ER shifts with a busy family practice–while lacking the system support she craved. She explains why she decided to retool her career when it had barely started.  

[Encore Presentation]: Attention-deficit hyperactivity disorder – or ADHD – is a common diagnosis in children. But more and more adults are also being diagnosed with ADHD. Family physician Dr. Ainslie Gray explains some of the tell-tale signs you might be living with undiagnosed ADHD, as well as some of the ways you might be unknowingly coping with the condition.

Pediatrician and vaccine scientist Dr. Peter Hotez warns the anti-vaccine movement has morphed into a dangerous anti-science force. In The Deadly Rise of Anti-Science: A Scientist's Warning, Hotez says failing to act now will threaten governments’ ability to fight serious infectious diseases.

Judith Morrison needs a kidney. While she's on dialysis, her sister Catherine is putting out a public plea for a living donor. But the search has been hard. And if they do find a donor, the sisters say that person will have to go through a long and opaque testing process - one that experts say needs to be improved across Canada.

When Ned Bell’s wife was recovering from cancer surgery at Vancouver General Hospital, the unappetizing food she was served left a bad taste in his mouth. So the five-star chef teamed up with his wife’s surgeon to revamp patient meals. Dr. Brian Goldman visits Chef Bell in the hospital’s test kitchen to see how the new “Planetary Health Menu” helps boost patient health and reduce the carbon footprint of traditional hospital food.

For decades, Ian Stedman lived with severe rashes, constant joint pain, red eyes and debilitating migraines. He saw dozens of doctors, but no one knew what was wrong with him. So he gave up. But when his infant daughter started showing the same symptoms, he turned to the internet. After a lot of research, he successfully diagnosed himself with a disease so rare, only one in a million people have it.

The climate is changing. So are we. On What On Earth, you’ll explore a world of solutions with host Laura Lynch and our team of journalists. In 1970, 20 million people showed up to fight for the environment on the first Earth Day. More than five decades later, is it time for this much tamer global event to return to its radical roots? 

OG organizer Denis Hayes recounts how – amidst other counterculture movements at the time – his team persuaded roughly one in ten Americans to take to the streets. As he approaches 80, Denis offers his singular piece of advice to the next generation of climate leaders. Then, environmental warriors Maria Blancas and Axcelle Campana share ideas on what a reinspired Earth Day could look like – including making it a public holiday.

More episodes of What On Earth are available at: https://link.chtbl.com/L2RFol4W

We love to hear from our listeners and regularly feature them on the show. Have a question or idea? Email Earth@cbc.ca

And if you’d like to learn more about the very special guest Dr. Goldman mentioned, please check out this classic episode of White Coat, Black Art.

In Quebec, family medicine is the latest troubling frontier in a two-tier system that's been quietly growing for years. Dr. Brian Goldman visits Clinique Santé Plus in Vaudreuil to learn why the clinic's youngest doctor turned away from the public system. Two patients - one languishing on a waitlist for a family doctor, and one who can never reach hers - explain why $150 is worth 15 minutes with a private family doctor.

Esther Schreiber felt like the luckiest woman when she married her sweetheart Eddi. They enjoyed a busy life until he was diagnosed with young onset dementia a decade ago. Now he's almost completely non verbal. The caregiving demands are all-consuming but she draws inspiration and support from other spouses.

In this season of bearing gifts, it’s been said the highest form of giving is the anonymous kind. Heather Badenoch knows that very well. She donated part of her liver to a child she never met in Toronto. Now she uses her communications skills to recruit donors for people in need of an organ.

Measles is on the rise, highlighting how a disease considered eliminated in Canada is making a comeback. Recent dramatic outbreaks are worrying people like infectious diseases specialist Dr. Sumon Chakrabarti. He explains why more people are getting measles, how it spreads, the symptoms and the long-term complications. He says getting vaccinated provides the best protection. (Originally published Mar. 6, 2025.)

Like many Canadian small towns, Carberry, MB had become a healthcare desert. In 2023, the small ER closed and the last doctor left. Carberry embarked on the fight of its life to get healthcare back. And now, just days before the first of two new MDs starts work, Dr. Brian Goldman visits Carberry to learn about the Herculean efforts it takes for one town to reinstate healthcare, and make sure they don't lose it again. 

Scott Hedlund and David Broman design, build, fit and fix prosthetic appliances like artificial limbs. They talk about the challenges and joys of their jobs.

Primary care providers don’t always recognize menopause symptoms for what they are, focusing instead on whether they’re a sign of a more serious problem. Not all know that menopausal hormone therapy is a safe and effective treatment for many women. We explain why that’s the case, and the range of treatments that can help women.

Many women report sexual health difficulties and don’t always know where to go for help. A small cadre of Canadian doctors specializing in women’s sexual health is trying to change that. They’re helping patients boost pleasure, while empowering them to get to know their sexual anatomy.

We're seeing the worst measles numbers in Canada in more than a decade. Dr. Ninh Tran, medical officer of health in the country's hardest hit region of southwestern Ontario, describes how they're fighting to control the spread. And University of Alberta infectious diseases specialist Dr. Lynora Saxinger reflects on the "undead zombie of disinformation" that's helped lead us here.

A shortage of anesthesiologists in Canada often means postponed operations and procedures. But some hospitals are using anesthesia assistants (AAs) to get more patients into surgeries and routine procedures needing sedation. Dr. Brian Goldman observes AA Rob Bryan during a colonoscopy at an Ontario hospital to find out what he does. And Nova Scotia pediatric anesthesiologists Dr. Sally Bird and Dr. Mathew Kiberd say AAs have become an essential part of their anesthesia team.  

When the last full-time doctor left the small town of Carberry, Manitoba in 2023, the responsibility of providing healthcare was left on the shoulders of nurses. In our second show from Carberry, Dr. Brian Goldman learns from a retired nurse just how robust rural healthcare once was. And when Brian witnesses a health emergency first hand, he sees the toll a town without doctors is taking on one nurse practitioner.

A behind-the-scenes chat about the making of the CBC collaboration "Overheated" where White Coat, Black Art, What on Earth, and Quirks and Quarks explore how heat is affecting our health, our communities and our ecosystems.

Much of the federal election campaign’s focus has been on the U.S. But health care is always on the minds of Canadians. So what are the federal government’s responsibilities when it comes to health care—especially when six and a half million Canadians don't have a primary care provider? Amélie Quesnel-Vallée, a McGill professor and Canada Research Chair in Policies and Health Inequalities, explains.

Sharon Chakkalackal was diagnosed with Young-Onset Parkinson’s at 38. Now, two years later, Sharon’s life is transformed – but not for the worse. Her days are filled with self-care, including exercise and community involvement, to treat and slow her symptoms. Dr. Brian Goldman joins Sharon on her volunteer gardening shift to learn how she's gleaning good from the not-so-good.

They needed certainty. They got chaos. For over a decade, countless people from at least five different countries put their trust in a company offering prenatal paternity tests. It promised clients “99.9% accuracy” — but then routinely, for over a decade, identified the wrong biological fathers.

Investigative journalists Jorge Barrera and Rachel Houlihan track down the people whose lives were torn apart by these bad results, the shattered families and acrimonious court cases that followed, and the story behind the company that continues to stand by its testing and is still operating today.

More episodes of Uncover are available at: https://lnk.to/AiF3rdPo

It may seem counterintuitive, but hospital emergency rooms can be hazardous to the health of elderly patients. An innovative geriatric multidisciplinary ER team at St. Mary's Hospital in Montreal is getting elderly patients discharged quickly and safely, saving them from preventable harms and the hospital millions in preventable admissions.

The CBC’s Julianne Hazlewood takes us on a familiar journey that for her is filled with uncertainty and peril. Julianne is in the late stages of pregnancy. She also has epilepsy. For additional support, she joined a research program called The Lullaby Project. It paired her with a musician to help her write and record a song to soothe her baby, and her fears.

Some doctors believe a minor gynecological procedure called an opportunistic salpingectomy can reduce dramatically the risk of ovarian cancer.

Pete Pearson, 74, is not ready to die. He was diagnosed six years ago with idiopathic pulmonary fibrosis, which has an average survival rate of 2-3 years after diagnosis. He knows he's on borrowed time, and has been dealing with anxiety and depression. That’s why he's seeking approval from Health Canada to use psilocybin as part of a treatment called psychedelic-assisted psychotherapy. His son Blake, who is also a family doctor, believes it can help his dad live the rest of his life to the fullest.

Ian Stedman Googled his rash and self-diagnosed a rare genetic condition called Muckle-Wells syndrome. It took him 32 years and almost 200 inconclusive doctor visits. A decade later, he's on a mission to get AI into the Canadian healthcare system to help diagnose and treat rare diseases faster.

Health-care workers are making sure they're ready for increasingly severe wildfire seasons. An EMS manager and hospital co-ordinator share how they evacuated high-needs patients from northern Alberta towns affected by wildfires in 2023. And how their best practices have already been tested this year.

Every two weeks, tenants of a Toronto Community Housing high-rise benefit from an on-site food bank. It's run by an embedded healthcare team, to build trust and get people the help they desperately need.

When Mary Jarratt's brother, Billy, had a debilitating stroke at the age of 58, she was thrown into the role of power of attorney. That meant making significant decisions on Billy's behalf, including his personal care, the care of his high school-aged son, and whether to sell the family home. It has taken a physical and emotional toll on her and she wants people to know what they’re getting into when they sign up to be a POA.

Canada’s nursing shortage is so dire that many provinces are stepping up efforts to recruit nurses from the Philippines. And as producer Stephanie Dubois discovered from Manila, that recruitment process is a well-oiled machine with a lot of players involved. From the Philippines government, to recruiters, to nursing schools, the message to nurses is clear: better opportunities only exist abroad.

A growing number of young people in Canada are being diagnosed with colorectal cancer, and their needs often differ from older patients. Melissa Grof​f was diagnosed at age 34, with three small kids, in the prime of her career.​​ ​She​ says she would have benefitted from more age-appropriate care. Sunnybrook's Young Adult Colorectal Cancer Clinic offers this care including support for mental health, sexual health, body image issues and family planning.

When famed British neurosurgeon Henry Marsh was diagnosed with advanced prostate cancer, he was forced to confront aging and his own mortality. Marsh reflects on both in his book, And, finally: Matters of Life and Death. 

Former senator and chair of the Truth and Reconciliation Commission Murray Sinclair spent the last four months of his life at St. Boniface Hospital in Winnipeg. He found comfort in the music of Quinton Poitras, a Métis musician with Artists in Healthcare Manitoba who played his favourites, especially the blues. Niigaan Sinclair says that even though his father was in a lot of pain, the music helped him feel joy in the moment.

Childhood neglect and abuse can lead to serious health problems in adults. Toronto psychiatrists Dr. Bob Maunder and Dr. Jon Hunter are calling for radical change to deal with this national epidemic in their new book, "Damaged: Childhood Trauma, Adult Illness, and the Need for a Health Care Revolution."

Palliative physician Dr. Samantha Winemaker says her line of work has a branding problem. Instead of thinking of it as "the Grim Reaper service" to be called in at the 11th hour, she says patients benefit from a palliative approach as soon as they're faced with a life-limiting illness. "Dr. Sammy" meets a new patient and his family for the first time - showing how her person-centered care treads the fine line between honesty and hope. 

How far would you go to test your body in extreme heat? Ironworker apprentice Britnee Miazek travels hundreds of kilometres to Brock University in St. Catharines, Ontario for a gruelling experiment to see how her body deals with high temperatures. She wants to find out why she stopped getting her period while working in sweltering conditions on a coke oven. Researchers are hoping to find answers for Britnee, and understand more about the long-term health effects of working in an increasingly hot environment.

This episode is part of a CBC collaboration called "Overheated" where White Coat, Black Art, What on Earth, and Quirks and Quarks explore how heat is affecting our health, our cities and our ecosystems.